Neurocognitive Performance Biomarkers are objective, quantifiable indicators used to assess the efficiency of central nervous system function, often including metrics related to processing speed, working memory, and attention span. In hormonal health, we link these to circulating levels of neurosteroids, thyroid hormones, and markers of cerebral perfusion. They provide a tangible measure of brain vitality.
Origin
This term originates from neuropsychology and clinical trials, where objective metrics are required to validate subjective reports of cognitive decline or improvement. The focus on ‘biomarkers’ anchors the assessment in measurable physiology rather than mere perception. It reflects the brain’s status as a highly metabolically active, hormone-sensitive organ.
Mechanism
Hormonal modulation of neurocognitive performance occurs via several mechanisms, including influencing synaptic plasticity through receptor-mediated effects on long-term potentiation. For instance, proper thyroid hormone action is required for myelination and neuronal maintenance throughout life. Furthermore, optimized androgen and estrogen levels regulate neurotransmitter balance, directly impacting executive function efficiency.
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